Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Dr. Thomas Jeffrey Wagner, OD MS
Optometrist in Mystic, CT · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1114993789
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Registry record
Entity type Individual (Type 1)
Name Dr. Thomas Jeffrey Wagner
Credential OD MS
Sex Male
Practice address 12 Roosevelt Ave, Mystic, CT, 06355
Phone (860) 536-1313
Fax (860) 572-7770
Enumeration date Feb 24, 2006
Last updated in NPPES Mar 24, 2020
Taxonomy & licenses
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Where does Thomas Wagner practice?
The practice location on file with NPPES is in Mystic, CT. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Thomas Wagner?
The National Provider Identifier (NPI) for Thomas Wagner is 1114993789, a Type 1 (individual) record in the CMS NPPES registry.
Other providers at this practice address
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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-03-24.